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Case 57 

Case 57
Chapter:
Case 57
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0057
Page of

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date: 17 August 2019

A 20-year-old woman has been seen by the neurologists. She has a 3-week history of severe headaches and progressive visual failure, and originally saw an optician who suggested that she needed to be seen in hospital. She has an approximately symmetrical loss of visual acuity, not correctable by glasses, which is now 6/24 bilaterally. In addition, she describes the edges of her vision closing in and feels that she is ‘looking down a tunnel’. She has no diplopia, no vomiting, no seizures, and no focal neurological symptoms or signs. Fundoscopy shows gross papilloedema bilaterally.

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